6. Which is a true statement about screening patients for potential opioid misuse? a. Only the Drug Abuse Screening Test has been associated with a high degree of predictive accuracy. b. Brief screening tools are regarded to have clinical utility in diagnosing OUD. c. Single screening questions may be used. d. There is no evidence to support screening for risk ahead of opioid prescription. 7. Patients who are already being prescribed opioids for chronic pain who exhibit an active OUD should be: a. Discontinued immediately from opioids and treated with nonpharmacologic pain therapies. b. Engaged in collaborative taper and treated or referred for treatment with medications to manage OUD. c. Tapered rapidly from opioid doses and encouraged to seek psychiatric counseling. d. Rotated to a dual-mechanism opioid with less misuse potential and sent for detoxification from high-dose opioids. 8. Which of the following is an example of an opioid-related risk factor appropriately influencing a treatment choice? a. Pain duration lasting longer than 6 months is a contraindication for carisoprodol co- prescribed with opioids. b. Patients without previous exposure should be initiated at the lowest possible dose of an extended-release opioid and titrated slowly to minimize adverse effects. c. Cardiac toxicities due to QTc prolongation suggest morphine should be carefully evaluated or should not be used. d. Take-home naloxone is advised in the presence of concurrent benzodiazepines.
9. One sign of an active OUD is:
a. Craving that persists after cessation. b. Combining opioids with alcohol. c. Persistent failure of analgesia despite optimal doses. d. Chronic insomnia with opioid therapy for pain. 10. Which of the following statements is true regarding a diagnosis of OUD using DSM-5 criteria? a. A minimum of four criteria are required for a mild OUD diagnosis. b. The preferred term for problematic opioid usage that does not meet criteria for OUD is “abuse.” c. The presence of tolerance and physical dependence does not necessarily mean that an OUD has developed. d. Patients cannot develop an OUD if they take medication as prescribed.
Course Code: MDCO02BP
Book Code: MDCO1025
Page 43
Powered by FlippingBook